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roots - international magazine of endodontology No. 1, 2018

| research “No Anaesthesia” endodontics in children Dr Imneet Madan, UAE “Laser Popping Sound” in dentistry for children is one of the best approaches that can help us to overcome the initial fear of the unknown when it comes to first treatment appointments in children. Its uniqueness lies in the fact that the need for numbing is completely exempted. To- day’s children like technology playing at its best. Lasers definitely meet that perception of technology. The routine first visit appointments are usually not a concern as children do not anticipate any intervention. Since they are not in pain, their mindset of approach is not defensive. Rather when there is no pre-biased opin- ion or fear, there is a pleasant sense of adaptation that allows the smooth flow of the appointment. Any different kind of behavioural exhibit occurs only when kids are an- ticipating an intervention, when they had been in pain or when in general they come fatigued. The discussion of needles is considered to be the most common subject just prior to the visit to the dentist. This discussion can become even more intense when there is already a perceived treatment need. Very young children can have the fear of the unknown, anxiety with strange and new places. The older ones develop extreme fear by talking to peers who have been to the dentist before. Some of them might have had good and some others not so good experience. Sometimes, past unpleasant paren- tal experience can distort the child’s adaptability to the dental appointment. They enter the clinic with the pre- formed image of the dentist which is not very convinc- ing and helpful to the child. These external experiences can lay the foundation of the child’s coping ability in the dental chair. 08 roots 1 2018

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